﻿@{
    ViewData["Title"] = "付款单";
}
<form role="form" class="form-horizontal">
    <!--客户信息-->
    <div class="form-group">
        <label class="col-sm-3 control-label" for="name">CARD #<em style="color: red;">*</em></label>
        <div class="col-sm-5">
            <input type="text" class="form-control" id="txt_orderNO">
        </div>
    </div>
    <div class="form-group">
        <label class="col-sm-3 control-label" for="name">EXPIRATION DATE<em style="color: red;">*</em></label>
        <div class="col-sm-5">
            <input type="text" class="form-control" id="txt_BuyWay">
        </div>
    </div>
    <div class="form-group">
        <label class="col-sm-3 control-label" for="name">CVV<em style="color: red;">*</em></label>
        <div class="col-sm-5">
            <input type="text" class="form-control" id="txt_ReferralNo">
        </div>
    </div>
    <div class="form-group">
        <label class="col-sm-3 control-label" for="name"></label>
        <div class="col-sm-5">
            <button type="button" onclick="Save()" class="btn btn-primary">保存</button>
        </div>
    </div>
</form>